Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05870 | Date 20/07/2019 |
| Token No | SM/19-20/6967 20/07/2019 | Serial | 070 Last Visit: 30/10/2023 |
| Patient Name | Mrs. ANIMA BAG | Contact No | 9088526015 |
| Address | 77/1RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 59 Years,9 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||